| NPI | 1750001855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JED CASTELLUCCI Chief Clinical Operating Officer 302-831-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 174H00000X Health Educator | |
| 225100000X Physical Therapist | |
| 225400000X Rehabilitation Practitioner | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist | |
| 261Q00000X Clinic/Center | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2024-02-08 |